Fairfield High School

FAIRFIELD HIGH SCHOOL

ATHLETIC

HALL OF FAME

NOMINATION FORM

THANK YOU FOR YOUR INTEREST IN THE FAIRFIELD HIGH SCHOOL ATHLETIC HALL OF FAME.

ATTACHED YOU WILL FIND A LIST OF CRITERION AND THE NOMINATION FORM FOR THIS MOST PRESTIGIOUS HONOR.

PLEASE COMPLETE FORM AND RETURN BY MAIL TO:

FAIRFIELD ATHLETIC HALL OF FAME

c/o Mr. Mark Harden Athletic Director 8800 Holden Blvd. Fairfield OH 45014

Please note: The committee cannot guarantee the return of any additional information included with the nomination form. CRITERION

FAIRFIELD HIGH SCHOOL

ATHLETIC HALL OF FAME

1. Candidate must have been a graduate, an employee, or a support person of Fairfield High School and its athletic department.

2. Candidate may be male or female, living or deceased.

3. Student-athlete candidates must have been graduated for at least five years.

4. Candidates who were employees of the Fairfield City School District must have been retired from the district for at least two years. FAIRFIELD HIGH SCHOOL ATHLETIC HALL OF FAME

NOMINATION FORM

NAME OF NOMINEE: ______

YEAR OF GRADUATION FROM F.H.S. (IF APPLICABLE): ______

PRESENT ADDRESS: ______

______

PHONE NUMBER: ______E-MAIL ADDRESS: ______

PLEASE CIRCLE TIME PERIOD OF ATTENDANCE AND/OR SERVICE TO FAIRFIELD HIGH SCHOOL ATHLETICS:

1929 - 1939 1960 - 1969 1990 - 1999 1940 - 1949 1970 - 1979 2000 - 2009 1950 - 1959 1980 - 1989 2010 - 2019

WHY SHOULD THIS PERSON BE CONSIDERED AS A CANDIDATE FOR INDUCTION INTO THE FAIRFIELD HIGH SCHOOL ATHLETIC HALL OF FAME? LIST ANY AWARDS/LETTERS WON THROUGH THE NOMINEE’S INVOLVEMENT WITH FAIFIELD HIGH SCHOOL ATHLECTICS.

LIST ANY AWARDS EARNED OUTSIDE OF THE NOMINEE’S INVOLVEMENT WITH FAIRFIELD HIGH SCHOOL.

LIST ANY MITIGATING FACTORS FOR CONSIDERATION BY THE SELECTION COMMITTEE IN ITS DELIBERATIONS.

************************ NOMINATED BY: ______

PRESENT ADDRESS: ______PHONE NUMBER: ______E-MAIL ADDRESS: ______

I HEREBY VERIFY THAT INFORMATION SUBMITTED HEREIN IS TRUTHFUL AND ACCURATE.

------SIGNATURE OF THE NOMINATOR